Highbury Concrete Formwork Inspection

• Site conducted

  Select

• Conducted on

  Date

• Qualified Person

• Location
  Address

Risk Management & Work Planning

• All workers involved in formwork operations have participated and signed the corresponding Daily Pre-Shift meeting.

  Yes

  No

• All workers involved in formwork operations have reviewed and signed the corresponding job hazard analysis.

  Yes

  No

Pre-Form work

• Are the approved formwork drawings available on site?

  Yes

  No

• Are all areas being formed in accordance with the approved formwork drawings?

  Yes

  No

• Please Indicate all formwork areas being inspected on this form. (2nd Floor/ elevator shaft, columns, walls.)

• Is the competent person(s) for formwork installation on site and available? Please have each individual sign-off on their work

  Yes

  No

• Wall Foreman: By signing below, I acknowledge that all formwork and braces are installed in accordance with the approved formwork drawings. I further acknowledge that I am the competent person designated by Highbury Concrete for this operation.

  Sign

• Deck Foreman: By signing below, I acknowledge that all formwork and braces are installed in accordance with the approved formwork drawings. I further acknowledge that I am the competent person designated by Highbury Concrete for this operation.

  Sign

• Column Foreman: By signing below, I acknowledge that all formwork and braces are installed in accordance with the approved formwork drawings. I further acknowledge that I am the competent person designated by Highbury Concrete for this operation.

  Sign

• Stair Foreman: By signing below, I acknowledge that all formwork and braces are installed in accordance with the approved formwork drawings. I further acknowledge that I am the competent person designated by Highbury Concrete for this operation.

  Sign

During Form work

• Adequate bracing on all areas that have been formed. Include photo(s)

  Pass

  Fail

  N/A

• Did the designated competent person remedy this after being notified? Please include photo(s)

  Yes

  No

• Shores vertically aligned using tell-tale devices.

  Pass

  Fail

  N/A

• Did the designated competent person remedy this after being notified? Please include photo(s)

  Yes

  No

• Correct spacing and size of shores being used as per approved drawing.

  Pass

  Fail

  N/A

• Did the designated competent person remedy this after being notified? Please include photo(s)

  Yes

  No

• Walls and columns have been plumbed using tell-tale devices

  Yes

  No

• Formwork Watch Person(s) available to notify of potential formwork failures such as "blowouts."

  Yes

  No

• Did the designated competent person remedy this after being notified? Please include photo(s)

  Yes

  No

• Formwork Watch Person(s) are able to communicate with Concrete Safety Manager via radio.

  Yes

  No

• Did the designated competent person remedy this after being notified? Please include photo(s)

  Yes

  No

Post-Form Work

• Upon successful completion of concrete pour, please have each individual sign-off on their area of operation.

  Yes

  No

• Wall Foreman: By signing below, I acknowledge that all formwork and braces were installed in accordance with the approved formwork drawings and has maintained structural integrity throughout concrete placement operations. I further acknowledge that I am the competent person designated by Highbury Concrete for this operation.

  Sign

• Deck Foreman: By signing below, I acknowledge that all formwork and braces were installed in accordance with the approved formwork drawings and has maintained structural integrity throughout concrete placement operations. I further acknowledge that I am the competent person designated by Highbury Concrete for this operation.

  Sign

• Column Foreman: By signing below, I acknowledge that all formwork and braces were installed in accordance with the approved formwork drawings and has maintained structural integrity throughout concrete placement operations. I further acknowledge that I am the competent person designated by Highbury Concrete for this operation.

  Sign

• Stair Foreman: By signing below, I acknowledge that all formwork and braces were installed in accordance with the approved formwork drawings and has maintained structural integrity throughout concrete placement operations. I further acknowledge that I am the competent person designated by Highbury Concrete for this operation.

  Sign

• Notify Concrete Safety Manager and Highbury Project Super immediately via email or text. Do not resume this report until you have received further instruction.

• Comments / Notes ( Optional )